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REPÚBLICA DE COLOMBIA
Declaración de Importación
Privada
500
1. Año 2024
Espacio reservado para la DIAN (Antes de diligenciar este formulario lea cuidadosamente las instrucciones)
4. Número de formulario
032024001096243-7
5 . Número de Identificación Tributaria (NIT)
830028931 13 . Dirección
CR 7 113 43 OF 607
6 . DV. 5
11 . Apellidos y nombres o Razón Social
SAMSUNG ELECTRONICS COLOMBIA S.A.
15 . Teléfono 12 . Cód. Admón. 16 . Cód. Dpto 17 . Cód. Ciudad Municipio
4870707 03 11 001
24 . Número de Identificación Tributaria (NIT)
860536003
29 . Número documento de identificación
1014207740
25 . DV. 3
26 . Razón social del declarante autorizado 27 . Tipo usuario 28 . Cód. usuario
AGENCIA DE ADUANAS ABC REPECEV S.A.S. NIVEL 1 26 99 30 . Apellidos y nombres
SERGIO ADRIAN CAMARGO MONTANA
31 . Clase 32 . Tipo declaración 33 . Cod. 34 .No.Formulario Anterior 35 . Año – Mes – Día 36 . Cod. Admón. 37 . Declaración de Exportación 38 . Año – Mes – Día 39 . Cod. Admón. Importador Inicial 1 XXXXXXXXXXXXXX XXXX – XX – XX XX No. XXXXXXXXXXXXXXX XXXX – XX – XX XX
02
40 . Cod. lugar ingreso 41 . Cod. Depósito 42 . Manifiesto de carga 43 . Año – Mes – Día 44 . Documento de transporte 45 . Año – Mes – Día de las mercancías 99900 No. 116575014655146 2024 – 08 – 10 No. HKG0364633 2024 – 08 – 07
BOG
46 . Nombre exportador o proveedor en el exterior 47 . Ciudad 48 . Cod.País Exportador SAMSUNG ELECTRONICS CO., LTD GYEONGGI-DO 190
49 . Dirección exportador o proveedor en el exterior 50 . E-mail
129, SAMSUNG-RO, YEONGTONG-GU SUWON 16677 010-8705-6749
51 . No. de factura 52 . Año – Mes – Día 53 . Cod. país 6900285818 2024 – 07 – 25 procedencia 351
54 . Cod. Modo Transporte
4
55 . Código de Bandera
244
56 . Cod. Depto destino
0
57 . Empresa transportadora 58 . Tasa de cambio $ cvs. EMIRATES SUCURSAL COLOMBIA
4.100.79
S
59 . Subpartida arancelaria 60 . Cod. 8517130000 Complementario
XX
61 . Cod. Suplementario
XX
62 . Cod. Modalidad C134
63 . No. cuotas o meses
XX
64 . Valor cuota USD XXXX
65 . Periodicidad del pago de la cuota
XX
66 . Cod. país 67 . Cod. Acuerdo de origen XXX
215
68 . Forma de pago 69 . Tipo de 70 . Cod. país de la importación importación compra
01 01 190
71 . Peso bruto kgs. dcms.
72 . Peso neto kgs.
dcms. 73 . Código 127.37 embalaje
YY
74 . No. bultos 1
75 . Subpartidas 1
76 . Cod. unidad 77 . Cantidad dcms. comercial
U
158.00
470.00
78 .Valor FOB 79 . Valor fletes USD USD
24.046.18
1.050.70
Concepto % Base Total Liquidado ($)
Total a pagar con esta declaración ($)
Total Liquidado (USD)
80 . Valor Seguros 81 . Valor Otros Gastos USD USD
1.21
0
Arancel
0
0
0.00
92 93 94 0.00 102.921.996
95
96
I.V.A.
9798 99 100 101
0.00 102.921.996 0 0 0.00
82 . Sumatoria de 83 . Ajuste valor USD fletes, seguros
y otros gastos USD
1.051.91
0.00
Salvaguardia
102 103 104 105 106
0.00 0 0 0 0.00
Derechos 107 Compensatorios
108
109
110
111
0.00
0
0
0
0.00
84 . Valor aduana 85 . Código registro 86 . Número
USD
o licencia
25.098.09
X XXXXXXXXXX
Derechos 112 Antidumping
113
114
115
116
0.00
0
0
0
0.00
Sancion
117 118 119 120 0000
87 . Cod. oficina
99
88 . Año 89 . Programa No 90 . Cód Interno del XXXX XXXXXXXXXX Producto
0
Rescate
121 122 123 124 0000
Total
125 126 0
0.00
91 . Descripción de las mercancías(No inicie la descripción de las mercancías a importar con lo señalado en el arancel de aduanas en la subpartida arancelaria – Incluya marcas, seriales y otros) (Si el campo es insuficiente, continúe al respaldo de este formulario)
NAC: 526605-DECL: 1828137-DO: 893118369241- DECL 1 DE 1.- //NOS ACOGEMOS AL ARTICULO 424 DEL ESTATUTO TRIBUTARIO MODIFICADO POR L
A LEY 1819DEL 29/12/2016 ARTÍCULO 175 NUMERAL 6 (EXCLUSIÓN DEL IVA). //NOS ACOGEMOS AL ARTÍCULO 2.8.3.1 ORDINAL 2.8.3.1.4 DE LA R
ESOLUCIÓN 5050 DEL 10DE NOVIEMBRE DE 2016. (ANEXAMOS CERTIFICADO DE HOMOLOGACIÓN)// NOS ACOGEMOS: AL DECRETO 0925 DE 2013, MERCAN
CIA QUE NO REQUIERE REGISTRO DEIMPORTACION .SAMSUNG ELECTRONICS COLOMBIA S.A. OEA COD. OE0001. . PEDIDOS: 3069828651. ID CONTENED
OR: 6077268276. MERCANCIA MARCA: SAMSUNGREFERENCIA: SM-A055MZSGLTC, PRODUCTO: TELEFONO CELULAR GALAXY A05 DUOS(CON ACCESORIOS PAR
A USO Y NORMAL FUNCIONAMIENTO), COLOR: PLATA, MODELO: SM-A055M/DS, USO O DESTINO: PARA LA VENTA AL MAYOR Y (continúa al respaldo)
127 . Valor pagos anteriores: 0
128 . Recibo oficial de pago anterior No.: XXXXXXXXXXXXXXX 129. Fecha: XXXX XX XX
130 . Espacio reservado DIAN – Actuación aduanera Estado de levante: Levante automático
No hay declaración posterior
131 . Espacio reservado uso exclusivo Ministerio de Relaciones Exteriores
132 . No. Aceptación declaración 032024001096243
133. Feha: 202408 12
134 . Levante No. 032024001029329 135 . Fecha Firma funcionario responsable 136 . Nombre 137 . C.C. No.
2024 – 08 – 12
Firma declarante
997 . Espacio exclusivo para el sello de la entidad recaudadora
(Fecha efectiva de la transacción)
Coloque el timbre de la máquina registradora al dorso de este formulario
980 . Pago Total $
0
996 . Espacio para autoadhesivo de la entidad recaudadora (Número del adhesivo)
SYGA
Autoadhesivo 92032405915089
Fecha presentación 2024-08-12 14:08:25 Valor pagado $0.00
Fecha de Impresión: 2024-08-12 14:10:31
Page 1
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001096243-7 Subpartida : 8517130000
Página 1 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
AL DETAL/ /MOBILE,SM-A055M/DS,SILVER,LTC( QTY. 470,00 u )(470,00 PCE); IMEIS: 351864755587056/354706945587057. 351864755587064/35
4706945587065. 351864755587080/354706945587081. 351864755587098/354706945587099. 351864755587106/354706945587107. 351864755587114
/354706945587115. 351864755587122/354706945587123. 351864755587130/354706945587131. 351864755587148/354706945587149. 351864755587
155/354706945587156. 351864755587163/354706945587164. 351864755587171/354706945587172. 351864755587189/354706945587180. 351864755
587197/354706945587198. 351864755587205/354706945587206.351864755587213/354706945587214. 351864755587221/354706945587222. 3518647
55587254/354706945587255. 351864755587262/354706945587263. 351864755587288/354706945587289. 351864755587296/354706945587297. 3518
64755587320/354706945587321. 351864755587338/354706945587339. 351864755587346/354706945587347. 351864755587353/354706945587354. 3
51864755587387/354706945587388. 351864755587403/354706945587404. 351864755587429/35470694 5587420. 351864755587445/35470694558744
6. 351864755587452/354706945587453. 351864755587460/354706945587461. 351864755587486/354706945587487.351864755587494/354706945587
495. 351864755587502/354706945587503. 351864755587510/354706945587511. 351864755587536/354706945587537. 351864755587544/354706945
587545. 351864755587551/354706945587552. 351864755587569/354706945587560. 351864755587585/354706945587586. 351864755587593/354706
945587594. 351864755587601/354706945587602. 351864755587635/354706945587636. 351864755587643/354706945587644. 351864755587650/354
706945587651. 351864755588799/354706945588790. 351864755588807/354706945588808. 351864755588815/354706945588816. 351864755588823/
354706945588824. 351864755588831/354706945588832. 351864755588856/354706945588857. 351864755588864/354706945588865. 3518647555888
72/354706945588873. 351864755588880/354706945588881. 351864755588898/354706945588899. 351864755588906/354706945588907. 3518647555
88914/354706945588915. 351864755588922/354706945588923. 351864755588948/354706945588949. 351864755588955/354706945588956. 3518647
55588963/354706945588964. 351864755588971/354706945588972. 351864755589029/354706945589020. 351864755589037/354706945589038. 3518
64755589045/354706945589046. 351864755589052/354706945589053. 351864755589060/354706945589061. 351864755589086/354706945589087. 3
51864755589110/354706945589111. 351864755589136/354706945589137. 351864755589144/354706945589145. 351864755589169/354706945589160
. 351864755589193/354706945589194. 351864755589201/354706945589202. 351864755589227/354706945589228. 351864755589292/354706945589
293. 351864755589300/354706945589301. 351864755589318/354706945589319. 351864755589326/354706945589327. 351864755589334/354706945
589335. 351864755589342/354706945589343. 351864755589367/354706945589368. 351864755589375/354706945589376. 351864755589383/354706
945589384. 351864755589391/354706945589392.351864755589409/354706945589400. 351864755589417/354706945589418. 351864755589458/3547
06945589459. 351864755589482/354706945589483. 351864755589508/354706945589509. 351864755589516/354706945589517. 351864755589532/3
54706945589533. 351864755589540/354706945589541. 351864755589565/354706945589566. 351864755589581/354706945589582. 35186475558960
7/354706945589608. 351864755589631/354706945589632. 351864755589656/354706945589657. 351864755589664/354706945589665. 35186475558
9730/354706945589731. 351864755589755/354706945589756. 351864755589763/354706945589764.351864755589771/354706945589772. 351864755
589797/354706945589798. 351864755589805/354706945589806. 351864755589813/354706945589814. 351864755589821/354706945589822. 351864
755589839/354706945589830. 351864755589847/354706945589848. 351864755589854/354706945589855. 351864755589862/354706945589863. 351
864755589870/354706945589871. 351864755589888/354706945589889. 351864755589904/354706945589905. 351864755589912/354706945589913.
351864755589920/354706945589921. 351864755589938/354706945589939. 351864755589953/354706945589954. 351864755589979/35470694558997
0. 351864755589987/354706945589988. 351864755590001/354706945590002. 351864755590027/354706945590028. 351864755590050/35470694559
0051. 351864755590068/354706945590069. 351864755590100/354706945590101. 351864755590134/354706945590135. 351864755590142/35470694
5590143. 351864755590159/354706945590150. 351864755590167/354706945590168. 351864755590191/354706945590192. 351864755590217/35470
6945590218. 351864755590233/354706945590234. 351864755590266/354706945590267. 351864755590274/354706945590275. 351864755590282/35
4706945590283. 351864755587668/354706945587669. 351864755587676/354706945587677. 351864755587684/354706945587685. 351864755587692
/354706945587693. 351864755587718/354706945587719. 351864755587726/354706945587727. 351864755587734/354706945587735. 351864755587
742/354706945587743. 351864755587775/354706945587776. 351864755587791/354706945587792. 351864755587809/354706945587800. 351864755
587825/354706945587826. 351864755587833/354706945587834. 351864755587841/354706945587842. 351864755587858/354706945587859. 351864
755587866/354706945587867. 351864755587890/354706945587891. 351864755587916/354706945587917. 351864755587932/354706945587933. 351
864755587957/354706945587958.351864755587965/354706945587966. 351864755587973/354706945587974. 351864755587981/354706945587982. 3
51864755587999/354706945587990. 351864755588005/354706945588006. 351864755588013/354706945588014. 351864755588021/354706945588022
. 351864755588039/354706945588030. 351864755588054/354706945588055. 351864755588070/354706945588071. 351864755588088/354706945588
089. 351864755588096/354706945588097. 351864755588104/354706945588105. 351864755588112/354706945588113. 351864755588120/354706945
588121. 351864755588138/354706945588139. 351864755588146/354706945588147.351864755588153/354706945588154. 351864755588161/3547069
45588162. 351864755588179/354706945588170. 351864755588195/354706945588196. 351864755588203/354706945588204. 351864755588211/3547
06945588212. 351864755588237/354706945588238. 351864755588245/354706945588246. 351864755588252/354706945588253. 351864755588260/3
54706945588261. 351864755588278/354706945588279. 351864755588286/354706945588287. 351864755588294/354706945588295. 35186475558830
2/354706945588303. 351864755588310/354706945588311. 351864755588328/354706945588329. 351864755588351/354706945588352. 35186475558
8369/354706945588360. 351864755588377/354706945588378. 351864755588385/354706945588386. 351864755588401/354706945588402. 35186475
5588419/354706945588410. 351864755588427/354706945588428. 351864755588435/354706945588436. 351864755588443/354706945588444. 35186
4755588450/354706945588451. 351864755588468/354706945588469. 351864755588476/354706945588477. 351864755588492/354706945588493. 35
1864755588500/354706945588501. 351864755588518/354706945588519. 351864755588534/354706945588535. 351864755588559/354706945588550.
351864755588567/354706945588568. 351864755588575/354706945588576. 351864755588583/354706945588584. 351864755588591/3547069455885
92. 351864755588609/354706945588600. 351864755588617/354706945588618. 351864755588633/354706945588634. 351864755588641/3547069455
88642. 351864755588666/354706945588667. 351864755588674/354706945588675. 351864755588682/354706945588683. 351864755588690/3547069
45588691. 351864755588708/354706945588709. 351864755588716/354706945588717. 351864755588724/354706945588725. 351864755588732/3547
06945588733. 351864755588757/354706945588758. 351864755588765/354706945588766. 351864755588773/354706945588774. 351864755588781/3
54706945588782.351864755590290/354706945590291. 351864755590324/354706945590325. 351864755590332/354706945590333. 351864755590340
/354706945590341. 351864755590357/354706945590358. 351864755590365/354706945590366. 351864755590373/354706945590374. 351864755590
381/354706945590382. 351864755590407/354706945590408. 351864755590415/354706945590416. 351864755590423/354706945590424. 351864755
590431/354706945590432. 351864755590449/354706945590440. 351864755590456/354706945590457. 351864755590464/354706945590465. 351864
755590472/354706945590473. 351864755590480/354706945590481.351864755590498/354706945590499. 351864755590514/354706945590515. 3518
64755590522/354706945590523. 351864755590548/354706945590549. 351864755590555/354706945590556. 351864755590563/354706945590564. 3
51864755590571/354706945590572. 351864755590589/354706945590580. 351864755590597/354706945590598. 351864755590605/354706945590606
. 351864755590613/354706945590614. 351864755590621/354706945590622. 351864755590639/354706945590630. 351864755590647/354706945590
648. 351864755590654/354706945590655. 351864755590662/354706945590663. 351864755590670/354706945590671. 351864755590688/354706945
590689. 351864755590696/354706945590697. 351864755590704/354706945590705. 351864755590753/354706945590754. 351864755590761/354706
945590762. 351864755590779/354706945590770. 351864755590795/354706945590796. 351864755590829/354706945590820. 351864755590837/354
706945590838. 351864755590845/354706945590846. 351864755590852/354706945590853. 351864755590878/354706945590879. 351864755590886/
354706945590887. 351864755590902/354706945590903. 351864755590910/354706945590911. 351864755590928/354706945590929. 3518647555909
36/354706945590937. 351864755590944/354706945590945. 351864755590951/354706945590952. 351864755590969/354706945590960. 3518647555
90977/354706945590978. 351864755590993/354706945590994. 351864755591009/354706945591000. 351864755591017/354706945591018. 3518647
55591025/354706945591026. 351864755591074/354706945591075. 351864755591082/354706945591083. 351864755591090/354706945591091. 3518
64755591108/354706945591109. 351864755591116/354706945591117. 351864755591124/354706945591125. 351864755591140/354706945591141. 3
032024001096243-7
Espacio para uso exclusivo de la Entidad Recaudadora
Page 2
REPÚBLICA DE COLOMBIA
Declaración de Importación
Aceptación : 032024001096243-7 Subpartida : 8517130000
Página 2 de 2
105. Continuación descripción mercancías (Incluya marcas, seriales y otros)
51864755591157/354706945591158. 351864755591165/354706945591166. 351864755591173/354706945591174. 351864755591181/354706945591182
.351864755591199/354706945591190. 351864755591207/354706945591208. 351864755591215/354706945591216. 351864755591231/3547069455912
32. 351864755591249/354706945591240. 351864755591256/354706945591257. 351864755591264/354706945591265. 351864755591272/3547069455
91273. 351864755591298/354706945591299. 351864755591306/354706945591307. 351864755591314/354706945591315. 351864755591322/3547069
45591323. 351864755591348/354706945591349. 351864755591355/354706945591356. 351864755591363/354706945591364. 351864755591371/3547
06945591372. 351864755591389/354706945591380.351864755591397/354706945591398. 351864755591405/354706945591406. 351864755591421/35
4706945591422. 351864755591454/354706945591455. 351864755591462/354706945591463. 351864755591470/354706945591471. 351864755591496
/354706945591497. 351864755591504/354706945591505. 351864755591512/354706945591513. 351864755591538/354706945591539. 351864755591
546/354706945591547. 351864755591553/354706945591554. 351864755591579/354706945591570. 351864755591587/354706945591588. 351864755
591595/354706945591596. 351864755591603/354706945591604. 351864755591611/354706945591612. 351864755591629/354706945591620. 351864
755591637/354706945591638. 351864755591645/354706945591646. 351864755591652/354706945591653. 351864755591660/354706945591661. 351
864755591678/354706945591679. 351864755591686/354706945591687. 351864755591702/354706945591703. 351864755591710/354706945591711.
351864755591728/354706945591729. 351864755591736/354706945591737. 351864755591744/354706945591745. 351864755591777/35470694559177
8. 351864755591793/354706945591794. 351864755591827/354706945591828. 351864755591835/354706945591836. 351864755591843/35470694559
1844. 351864755591850/354706945591851. 351864755591868/354706945591869. 351864755591876/354706945591877. 351864755591884/35470694
5591885. 351864755591900/354706945591901. 351864755591918/354706945591919. 351864755591926/354706945591927. 351864755591934/35470
6945591935. 351864755591942/354706945591943. 351864755591959/354706945591950. 351864755591967/354706945591968. 351864755591975/35
4706945591976. 351864755591983/354706945591984. 351864755591991/354706945591992. 351864755592007/354706945592008. 351864755592015
/354706945592016. 351864755592023/354706945592024. 351864755592031/354706945592032. 351864755592056/354706945592057.3518647555920
64/354706945592065. 351864755592072/354706945592073. 351864755592080/354706945592081. 351864755592098/354706945592099. 3518647555
92106/354706945592107. 351864755592114/354706945592115. 351864755592122/354706945592123. 351864755592130/354706945592131. 3518647
55592148/354706945592149. 351864755592155/354706945592156. 351864755592163/354706945592164. 351864755592171/354706945592172. 3518
64755592189/354706945592180. 351864755592197/354706945592198. 351864755592213/354706945592214. 351864755592221/354706945592222. 3
51864755592239/354706945592230.351864755592254/354706945592255. 351864755592262/354706945592263. 351864755592270/354706945592271.
351864755592288/354706945592289. 351864755592296/354706945592297. 351864755592304/354706945592305. 351864755592312/3547069455923
13. 351864755592320/354706945592321. 351864755592338/354706945592339. 351864755592346/354706945592347. 351864755592361/3547069455
92362. 351864755592379/354706945592370. 351864755592387/354706945592388. 351864755592395/354706945592396. 351864755592403/3547069
45592404. 351864755592411/354706945592412. 351864755592429/354706945592420. 351864755592445/354706945592446. 351864755592452/3547
06945592453. 351864755592460/354706945592461. 351864755592486/354706945592487. 351864755592494/354706945592495. 351864755592510/3
54706945592511. 351864755592551/354706945592552. 351864755592569/354706945592560. 351864755592577/354706945592578. 35186475559258
5/354706945592586. 351864755592593/354706945592594. 351864755592601/354706945592602. 351864755592619/354706945592610. 35186475559
2635/354706945592636. 351864755592650/354706945592651. 351864755592676/354706945592677. 351864755592692/354706945592693. 35186475
5592700/354706945592701. 351864755592718/354706945592719. 351864755592734/354706945592735. 351864755592742/354706945592743. 35186
4755592759/354706945592750. 351864755592767/354706945592768. 351864755592775/354706945592776. 351864755592783/354706945592784. 35
1864755592791/354706945592792. 351864755592817/354706945592818. 351864755592825/354706945592826. 351864755592841/354706945592842.
351864755592858/354706945592859. 351864755592882/354706945592883. 351864755592890/354706945592891. 351864755592908/3547069455929
09. 351864755592916/354706945592917. 351864755592932/354706945592933. 351864755592957/354706945592958.351864755592965/35470694559
2966. 351864755593005/354706945593006. 351864755593013/354706945593014. 351864755593039/354706945593030. 351864755593047/35470694
5593048. 351864755593062/354706945593063. 351864755593070/354706945593071. 351864755593104/354706945593105. 351864755593153/35470
6945593154. 351864755593161/354706945593162. 351864755593179/354706945593170. 351864755593187/354706945593188. 351864755593211/35
4706945593212. 351864755593237/354706945593238. 351864755593245/354706945593246. 351864755593286/354706945593287. 351864755593294
/354706945593295.351864755593310/354706945593311. 351864755593344/354706945593345. 351864755593369/354706945593360. 3518647555933
85/354706945593386. 351864755593393/354706945593394. 351864755593419/354706945593410. 351864755593435/354706945593436. 3518647555
93450/354706945593451. 351864755593476/354706945593477. 351864755593484/354706945593485. 351864755593492/354706945593493. 3518647
55593542/354706945593543. 351864755594052/354706945594053. 351864755595570/354706945595571. 351864755596180/354706945596181. 3518
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032024001096243-7
Espacio para uso exclusivo de la Entidad Recaudadora
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